Agency Information Collection (Authorization To Disclose Personal Beneficiary/Claimant Information to a Third Party) Activity under OMB Review, 68100 [E9-30367]
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68100
Federal Register / Vol. 74, No. 244 / Tuesday, December 22, 2009 / Notices
Resources and Housing Branch, New
Executive Office Building, Room 10235,
Washington, DC 20503, (202) 395–7316.
Please refer to ‘‘OMB Control No. 2900–
0577’’ in any correspondence.
FOR FURTHER INFORMATION CONTACT:
Denise McLamb, Enterprise Records
Service (005R1B), Department of
Veterans Affairs, 810 Vermont Avenue,
NW., Washington, DC 20420, (202) 461–
7485, fax (202) 273–0443 or e-mail
denise.mclamb@mail.va.gov. Please
refer to ‘‘OMB Control No. 2900–0577.’’
SUPPLEMENTARY INFORMATION:
Title: Award Attachment for Certain
Children with Disabilities Born of
Vietnam and Certain Korea Service
Veterans, VA Form 21–0307.
OMB Control Number: 2900–0577.
Type of Review: Extension of a
currently approved collection.
Abstract: VA Form 21–0307 is used to
provide children of veterans who have
spina bifida with information about VA
health care and vocational training and
the steps they must take to apply for
such benefits.
An agency may not conduct or
sponsor, and a person is not required to
respond to a collection of information
unless it displays a currently valid OMB
control number. The Federal Register
Notice with a 60-day comment period
soliciting comments on this collection
of information was published on
October 14, 2009, at page 52841.
Affected Public: Individuals or
households.
Estimated Annual Burden: 19 hours.
Estimated Average Burden Per
Respondent: 15 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents:
75.
Dated: December 17, 2009.
By direction of the Secretary:
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. E9–30366 Filed 12–21–09; 8:45 am]
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DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0736]
Agency Information Collection
(Authorization To Disclose Personal
Beneficiary/Claimant Information to a
Third Party) Activity under OMB
Review
AGENCY: Veterans Benefits
Administration, Department of Veterans
Affairs.
ACTION: Notice.
SUMMARY: In compliance with the
Paperwork Reduction Act (PRA) of 1995
(44 U.S.C. 3501–3521), this notice
announces that the Veterans Benefits
Administration (VBA), Department of
Veterans Affairs, will submit the
collection of information abstracted
below to the Office of Management and
Budget (OMB) for review and comment.
The PRA submission describes the
nature of the information collection and
its expected cost and burden; it includes
the actual data collection instrument.
DATE: Comments must be submitted on
or before January 21, 2010.
ADDRESSES: Submit written comments
on the collection of information through
https://www.Regulations.gov or to VA’s
OMB Desk Officer, OMB Human
Resources and Housing Branch, New
Executive Office Building, Room 10235,
Washington, DC 20503, (202) 395–7316.
Please refer to ‘‘OMB Control No. 2900–
0736’’ in any correspondence.
FOR FURTHER INFORMATION CONTACT:
Denise McLamb, Enterprise Records
Service (005R1B), Department of
Veterans Affairs, 810 Vermont Avenue,
NW., Washington, DC 20420, (202) 461–
7485, FAX (202) 273–0443 or e-mail
denise.mclamb@mail.va.gov. Please
refer to ‘‘OMB Control No. 2900–0736.’’
SUPPLEMENTARY INFORMATION:
Title: Authorization to Disclose
Personal Beneficiary/Claimant
PO 00000
Frm 00073
Fmt 4703
Sfmt 4703
Information to a Third Party, VA Form
21–0845.
OMB Control Number: 2900–0736.
Type of Review: Extension of a
currently approved collection.
Abstract: VA Form 21–0845 is
completed by severely injured service
members or beneficiary who are unable
to communicate with VA due to their
injuries, to authorize release of certain
claims information to an agent or
person(s) whom they designate. The
form will aid family member(s) in
making well-informed decisions
regarding a seriously ill or injured
claimant or beneficiary and also allow
the designee to receive updated
information on certain decisions made
regarding claims and payments.
An agency may not conduct or
sponsor, and a person is not required to
respond to a collection of information
unless it displays a currently valid OMB
control number. The Federal Register
Notice with a 60-day comment period
soliciting comments on this collection
of information was published on
October 14, 2009, at pages 52842–52843.
Affected Public: Individuals or
households.
Estimated Annual Burden: 1,667
hours.
Estimated Average Burden Per
Respondent: 5 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents:
20,000.
Dated: December 17, 2009.
By direction of the Secretary:
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. E9–30367 Filed 12–21–09; 8:45 am]
BILLING CODE 8320–01–P
E:\FR\FM\22DEN1.SGM
22DEN1
Agencies
[Federal Register Volume 74, Number 244 (Tuesday, December 22, 2009)]
[Notices]
[Page 68100]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E9-30367]
-----------------------------------------------------------------------
DEPARTMENT OF VETERANS AFFAIRS
[OMB Control No. 2900-0736]
Agency Information Collection (Authorization To Disclose Personal
Beneficiary/Claimant Information to a Third Party) Activity under OMB
Review
AGENCY: Veterans Benefits Administration, Department of Veterans
Affairs.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: In compliance with the Paperwork Reduction Act (PRA) of 1995
(44 U.S.C. 3501-3521), this notice announces that the Veterans Benefits
Administration (VBA), Department of Veterans Affairs, will submit the
collection of information abstracted below to the Office of Management
and Budget (OMB) for review and comment. The PRA submission describes
the nature of the information collection and its expected cost and
burden; it includes the actual data collection instrument.
DATE: Comments must be submitted on or before January 21, 2010.
ADDRESSES: Submit written comments on the collection of information
through https://www.Regulations.gov or to VA's OMB Desk Officer, OMB
Human Resources and Housing Branch, New Executive Office Building, Room
10235, Washington, DC 20503, (202) 395-7316. Please refer to ``OMB
Control No. 2900-0736'' in any correspondence.
FOR FURTHER INFORMATION CONTACT: Denise McLamb, Enterprise Records
Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue,
NW., Washington, DC 20420, (202) 461-7485, FAX (202) 273-0443 or e-mail
denise.mclamb@mail.va.gov. Please refer to ``OMB Control No. 2900-
0736.''
SUPPLEMENTARY INFORMATION:
Title: Authorization to Disclose Personal Beneficiary/Claimant
Information to a Third Party, VA Form 21-0845.
OMB Control Number: 2900-0736.
Type of Review: Extension of a currently approved collection.
Abstract: VA Form 21-0845 is completed by severely injured service
members or beneficiary who are unable to communicate with VA due to
their injuries, to authorize release of certain claims information to
an agent or person(s) whom they designate. The form will aid family
member(s) in making well-informed decisions regarding a seriously ill
or injured claimant or beneficiary and also allow the designee to
receive updated information on certain decisions made regarding claims
and payments.
An agency may not conduct or sponsor, and a person is not required
to respond to a collection of information unless it displays a
currently valid OMB control number. The Federal Register Notice with a
60-day comment period soliciting comments on this collection of
information was published on October 14, 2009, at pages 52842-52843.
Affected Public: Individuals or households.
Estimated Annual Burden: 1,667 hours.
Estimated Average Burden Per Respondent: 5 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents: 20,000.
Dated: December 17, 2009.
By direction of the Secretary:
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. E9-30367 Filed 12-21-09; 8:45 am]
BILLING CODE 8320-01-P